Rivelis, Yulia

Rivelis, Yulia is an sole proprietor health care provider with primary practice located at 3883 Airway Dr , Santa Rosa CA 95403-1670. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Rivelis, Yulia can be contacted via phone (707) 573-5458.

Contact Information

Primary practice address
3883 Airway Dr Santa Rosa CA 95403-1670
Phone: (707) 573-5458
Fax: (707) 573-5458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT212134 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A180148 California

Profile Details

NPI number 1003269242
LBN Legal business name Rivelis, Yulia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2016
Last updated Oct 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003269242 NPPES
California Other A180148 STATE MEDICAL LICENSE

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